NCLEX-PN
Care of Older Adults NCLEX Questions Questions
Extract:
Question 1 of 5
The home health nurse is caring for the middle-aged client who is disabled due to a recent accident. The client has few interests, spends most days watching TV, and has become estranged from the family. Which of Erikson’s developmental stages should the nurse conclude that the client is not meeting?
Correct Answer: C
Rationale: The client’s isolation and lack of interests indicate stagnation, failing to meet generativity versus stagnation, the central task of middle adulthood. Other stages apply to younger age groups.
Question 2 of 5
The 70-year-old client, hospitalized with chest pain, has been functioning independently at home. During the night, the client is found wandering in the hallway and states, 'I can’t find my kitchen. I need a glass of milk.' What is the nurse’s best interpretation of the client’s behavior?
Correct Answer: B
Rationale: Stress from unfamiliar surroundings can cause confusion in older adults. No stroke symptoms are noted, mental decline isn’t normal aging, and the change is abrupt, not insidious.
Question 3 of 5
The nurse is caring for the 50-year-old client who reports having difficulty falling asleep. Which recommendations should the nurse make to this client? Select all that apply.
Correct Answer: B;C;E
Rationale: Avoiding exercise near bedtime, maintaining a consistent bedtime, and avoiding large/spicy meals promote sleep. Alcohol and TV in bed can disrupt sleep.
Question 4 of 5
The nurse is evaluating the older adult client’s hydration status. Which information should the nurse include? Select all that apply.
Correct Answer: A;B;D;E
Rationale: Urine color, BUN/creatinine, specific gravity, and 24-hour intake/output assess hydration. WBC count evaluates infection, not hydration.
Question 5 of 5
The nurse educator is planning teaching for other nurses after noting that some nurses need additional education on insulin types and how to use the new insulin injection pens. When planning teaching, which question by the educator best reflects consideration that the nurses are adult learners?
Correct Answer: B
Rationale: Adult learners are independent and benefit from identifying their own learning needs and preferred methods. Asking about specific needs and teaching preferences supports this, unlike posters, presentations, or implying misunderstanding.